A proposed objective scale for extracorporeal membrane oxygenation circuit thrombosis.

A proposed objective scale for extracorporeal membrane oxygenation circuit thrombosis.
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提出的体外膜氧合回路血栓形成客观量表。

DOI:
10.1111/ctr.15118
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发表时间:
2023
影响因子:
2.1
通讯作者:
Rajab,TaufiekKonrad
Rajab,TaufiekKonrad
中科院分区:
医学3区
文献类型:
--
作者:
Konsek,Haley;Mealer,Corey;Skidmore,Savannah;Collins,Monika;Tchantchaleishvili,Vakhtang;Rajab,TaufiekKonrad

文献摘要

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接受体外膜肺氧合(ECMO)的患者容易发生血栓,这是死亡和发病的主要原因。然而,目前尚无客观的ECMO血栓分级量表来规范评估、指导治疗并促进进一步研究。在这封信中,我们根据物理特征和回路内的位置提出了 ECMO 回路血栓形成的客观分级标准。该 ECMO 血栓量表将允许 ECMO 血栓治疗的方案升级,包括观察观察、强化抗凝和回路交换。
Patients undergoing extracorporeal membrane oxygenation (ECMO) are susceptible to thrombosis, which is a major cause of death and morbidity. However, there is no objective ECMO thrombosis grading scale to standardize evaluation, guide treatment, and facilitate further research. In this letter, we propose an objective grading scale for ECMO circuit thrombosis based on physical characteristics and location within the circuit. This ECMO thrombosis scale will allow for protocolized escalation of ECMO thrombosis treatment, ranging from watchful observation, intensified anticoagulation, and circuit exchange.